Maternal Child Nursing Chapter 38
Family-Centered Care of the Child
During Illness and Hospitalization
2, 3, 4, 5
Risk factors for increased stress level of a child to illness
or hospitalization: "Difficult" temperament; Lack of fit
between child and parent; Age (especially between 6
months and 5 years old); Male gender; Below-average
intelligence; Multiple and continuing stresses (e.g.,
frequent hospitalizations). - answer ✅✅When admitting
a child to the inpatient pediatric unit, the nurse should
assess for which risk factors that can increase the child's
,stress level associated with hospitalization? Select all
that apply.
1
Mild temperament
2
Lack of fit between parent and child
3
Below-average intelligence
4
Age
5
Gender
1
The child does not have enough knowledge about the
tonsillectomy. Therefore the child may have fear about
the surgery. The nurse should explain to the child that
once the tonsils are removed, they do not need "fixing"
again. It helps relieve the child's fear about the
,operation, and the child may feel comfortable. Once the
tonsillectomy has been done in the child, a second
operation is not required after another throat infection.
There will actually not be a need for repeating the
operation at any age. The child needs to be instructed
that there may be other sore throats in the future.
However, the child needs to be reassured that future
sore throats will not require surgery. - answer ✅✅A
child is scheduled for a tonsillectomy and is afraid of the
surgery. The child asks the nurse, "Will I need another
operation when I have a sore throat again?" Which
response should the nurse give to the child?
1
"Once your tonsils are taken out, you will not need the
surgery again."
2
"You will need to repeat the surgery when you have
another infection."
3
"You will need to have another surgery when you turn 14
years old."
4
, "Once your tonsils are fixed, you will not have any more
sore throats."
1, 3, 5
Young children's posthospital behaviors include: They
show initial aloofness toward parents; this may last from
a few minutes (most common) to a few days. This is
frequently followed by dependency behaviors: tendency
to cling to parents; demands for parents' attention;
vigorous opposition to any separation (e.g., staying at
preschool or with a babysitter). Other negative behaviors
include: new fears (e.g., nightmares); resistance to going
to bed, night waking; withdrawal and shyness;
hyperactivity; temper tantrums; food peculiarities;
attachment to blanket or toy; regression in newly
learned skills (e.g., self-toileting). Posthospital behaviors
for older children include negative behaviors: emotional
coldness followed by intense, demanding dependence on
parents; anger toward parents; jealousy toward others
(e.g., siblings). - answer ✅✅The nurse is discharging a
young child from the hospital. The nurse should instruct
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